Individual
MS. EILEEN F PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
1156 E RIDGEWOOD AVE, SUITE 10, RIDGEWOOD, NJ 07450-3935
(201) 444-4711
Mailing address
27-33 CORSA TER, 9B, RIDGEWOOD, NJ 07450-3175
(201) 926-0866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04749400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC04749400
LIC. CLINICAL SOCIAL WORK
NJ
Enumeration date
03/30/2007
Last updated
07/08/2007
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